Identify the congenital disorder of eyelid as shown in the photograph below ?
A. Congenital ptosis.
B. Congenital coloboma.
- It is characterised by a congenital horizontal fold of skin near the margin of the upper or lower eyelid caused by the abnormal insertion of muscle fibres. This extra fold of skin redirects the lashes into a vertical position, where they may contact the globe.
- This is found most commonly in Asian individuals, especially children.
- Itch and tearing
- Redness of the eyes
- Constant and frequent rubbing of eyes
- Some children with mild epiblepharon can grow out of the condition. This occurs with maturation of the facial structures. Mild cases can therefore be treated with lubricating eye drops or ointment. In severe cases, surgery may be required. Surgery involves removing a small area of excess skin and muscle just below the lid margin to help the lashes rotate outwards.